COVID-19 Situation Update Brazil The Bahamas & Turks and Caicos Islands 10 June 2021 SITUATION IN NUMBERS GLOBAL The Bahamas 174,259,789 Cases 3,764,129 Deaths The first confirmed case of COVID-19 was reported on 15 March 2020. During the period 3- 10 June 2021, there were 157 newly confirmed cases of COVID-19 and 5 COVID-19 related deaths. REGION OF THE AMERICAS Among the new cases: 69,131,242 Cases • 122 (78%) were from New Providence; 1,816,357 Deaths • 73 (46%) were males and 84 (54%) were females; THE BAHAMAS • 10 cases (5 from New Providence, 2 from Exuma and Grand Bahama and 1 from Abaco) 12130 Confirmed were travel-related. 728 Active 11081 Recovered Among the total confirmed cases, 113,487 real time PCR tests have been conducted to date. 38 Hospitalized 237 Deaths Turks and Caicos Islands (TCI) TURKS & CAICOS The first confirmed case of COVID-19 was reported on 23 March 2020. During the period 3- 2421 Confirmed 10 June 2021, there were 2 newly confirmed cases of COVID-19 and 1 COVID-19 related 7 Active death . 2389 Recovered 1 Hospitalized Among the new cases: 18 Deaths • 2 (100%) were from Providenciales Among the total confirmed cases: • 1161 (47.9%) were males, 1259 (52%) were females, and 1 (0.1%) was unknown gender as of 9 June 2021; • 22,790 real time PCR tests and 100,593 Rapid Antigen Tests have been conducted. Total cases and deaths, as of 10 June 2021 The Bahamas Turks and Caicos Islands Island Confirmed Deaths Island Confirmed Deaths cases cases New Providence 8945 174 Providenciales 1942 12 Grand Bahama 1822 31 North Caicos 96 0 Abaco 369 8 Parrot Cay 13 0 Eleuthera 237 1 Grand Turk 284 5 Exuma 159 2 South Caicos 58 0 Bimini/Cat Cay 138 4 Middle Caicos 27 0 Berry Islands 90 2 Ambergris Cay 1 0 Inagua 24 0 TOTAL 2421 17 Andros 167 2 Long Island 25 1 Cat Island 71 1 Acklins 7 0 San Salvador 12 0 Crooked Island 7 0 Mayaguana 3 0 Pending 54 11 TOTAL 12130 237 Pan American Health Organization Bahamas Country Office www.paho.org | © PAHO/WHO, 2020 SITUATION SUMMARY HIGHLIGHTS The Bahamas • The number of reported cases has begun show a decreasing trend since the start of the third wave. • Emergency Orders have been extended for three months until 19th August 2021. • Nightly curfews continued for Grand Bahama and New Providence. • The 14-day lockdown was extended for Bullocks Harbour and Great Harbour Cay (both a part of The Berry Islands) to 5:00 am, 7 June 2021; and for Central Andros, North Andros, and Cat Island to 5:00 am, 14 June 2021. • Businesses on The Berry Islands and South Andros are permitted to operate from 6:00 am to 9:00 pm. • Harvesting of crabs is permitted on Cat Island, Central Andros and North Andros from 8:00 pm to 5:00 am; and on South Andros and The Berry Islands from 10:00 pm to 5:00 am. • School examinations are permitted during the lockdown on Bullocks Harbour and Great Harbour Cay (both a part of The Berry Islands), Cat Island, Central Andros, and North Andros. • Restrictions on vessels and travelers from Haiti into The Bahamas were extended to 11 July 2021. • On 7 June 2021, the United States Centers for Disease Control and Prevention lowered the COVID- 19 risk assessment level from Level 4 (Very high) to Level 3 (High) for The Bahamas. Confirmed cases of COVID-19 in The Bahamas by report date Data as of 10 June 2021 (N=12130) 250 14000 200 12000 10000 150 8000 100 6000 4000 50 2000 0 0 5/1/2021 5/4/2021 7/8/2020 8/8/2020 9/7/2020 4/2/2021 6/3/2021 5/5/2021 4/6/2021 3/14/2020 4/10/2020 4/30/2020 7/24/2020 8/23/2020 9/22/2020 10/7/2020 6/11/2020 6/12/2020 20/1/2021 19/2/2021 21/3/2021 20/4/2021 20/5/2021 10/22/2020 21/11/2020 21/12/2020 New Cases Cumulative Cases Turks and Caicos Islands • The pandemic public health regulations and protocols related to physical distancing, wearing of masks and other related measures including screening for travel have been extended to 30 June 2021. • On 7 June 2021, the United States Centers for Disease Control and Prevention lowered the COVID- 19 risk assessment from Level 4 (Very high) to Level 1 (Low) for the Turks and Caicos Islands. Symptomatic and Asymptomatic TCA COVID-19 cases by date of positive test 10 May - 8 June, 2021 5 Asymptomatic Symptomatic Unknown 4 3 2 1 0 No. of cases 1-Jun 2-Jun 3-Jun 4-Jun 5-Jun 6-Jun 7-Jun 8-Jun 13-May 10-May 11-May 12-May 14-May 15-May 16-May 17-May 18-May 19-May 20-May 21-May 22-May 23-May 24-May 25-May 26-May 27-May 28-May 29-May 30-May 31-May Date of positive test Source: Turks and Caicos Islands Situation Report 60 2 Age distribution of confirmed COVID-19 cases in the TCI, March 23, 2020 - June 9, 2021 (n=2421) 30% 20% 24.8% 10% 19.0% 21.4% 13.6% No. of cases of No. 0% 1.9% 10.2% 7.8% 0.8% 0.5% Age Group (years) Source: Turks and Caicos Islands Situation Report 60 RESPONSE PAHO/WHO continues to provide both The Bahamas and Turks and Caicos Islands with access to updated technical guidelines, technical assistance and situational updates related to the COVID-19 response. The Bahamas • COVID-19 vaccine distribution administration continued. As of 5 June 2021, 48,434 persons received the first dose and 13,749 persons received the second dose of the AstraZeneca COVID-19 vaccine. • CIBC First Caribbean International Bank made a $100,000 donation to the Ministry of Health on 10 June 2021 to support the COVID-19 vaccination efforts. • Moderate to severe COVID-19 cases continue to be treated at Princess Margaret Hospital (PMH), Doctors Hospital West and the Rand Memorial Hospital. PMH continues to only service emergency cases and operate outpatient clinic services via telehealth and virtual means. • The national authorities continue to require non-fully vaccinated travelers to have a negative real time PCR test, the completion of a daily on-line survey for fourteen days after arrival and depending upon the responses, rapid antigen testing five- and ten-days post entry. • Results are pending for ten COVID-19 samples sent to the Caribbean Public Health Agency for genomic sequencing in March 2021. • A National Respiratory Surveillance Genomics Database is in use by the National Reference Laboratory (NRL) for genetic analysis. Several genomic deletions and variant mutations have been identified by the NRL. • COVID-19 laboratory PCR testing continues at the NRL, PMH, Rand Memorial Hospital and private sector laboratories. • An on-line contact tracing course continues to be offered through the University of The Bahamas. • A SharePoint platform continues to be utilized for multiple user entry of contact tracing data, case investigation and laboratory test results whilst Go.Data is used for epidemiology analysis of a subset of exported data variables. • The Public Hospital’s Authority continues to distribute personal protective equipment across all public hospitals and clinics. • MOH continues to provide telemedicine, telepsychology, mental health, and psychosocial support services. • MOH continues to implement a communication campaign to increase immunization coverage for influenza and other vaccines. • Work continues in adapting and implementing the National COVID-19 Vaccine Plan to the changing situation with respect to access to vaccines, with support from PAHO/WHO. • The communication campaign for COVID-19 vaccine continues. Turks and Caicos Islands • The daily number of new confirmed cases of COVID-19 remains low. • COVID-19 vaccine distribution continued. As of 6 June 2021, 22,700 persons received their first dose of the COVID-19 vaccine and 55% of the entire population was fully vaccinated. 3 • Persons continue to register for the COVID-19 vaccine via the online portal which is available in three languages: English, French-Creole, and Spanish. • Go.Data continues to be utilized for field data collection and contact tracing investigations. • Community drive-through services continue to provide access to COVID-19 tests throughout the islands. • The National Public Health Laboratory continues to conduct COVID-19 PCR testing. • The communication education campaign continues with communication materials on the COVID-19 vaccine shared via traditional means and social media. • A Cuban health contingent of 20 persons continues to operate in medical facilities though a bilateral agreement between the two countries. GAPS/CHALLENGES • Public compliance with public health protocols and vaccination hesitancy continue to present challenges in both The Bahamas and Turks and Caicos Islands. • There continues to be a risk of introduction of new variants to both The Bahamas and Turks and Caicos Islands due the emergence and spread of COVID-19 variants in several countries from which tourists originate. • While The Bahamas has capacity to identify the presence of COVID-19 variants, neither The Bahamas nor Turks and Caicos Islands have in-country sequencing capacity. This presents a challenge for the timely identification of new variants. • Both countries are challenged by the limited global supply of Cepheid Test Kits and other supplies required for COVID-19 testing. Turks and Caicos Islands is particularly challenged as it is only possible for them to source Cepheid Test Kits through the United Kingdom Government.